Violation Details: 00396134-AP-364239

Records Request Print
Date
4/17/2025
Report number
00396134-AP-364239
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) relies on the facility to manage his/her medications. On or about August 30,2025, Alleged Perpetrator 2 (AP2) gave AV the wrong medication, resulting in sleepiness, AV having a hard time thinking, and AV feeling out of it. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide a safe medication administration system which violates Oregon Administrative Rules.
Sanction
RCFCP25-00956 $500.00 fine assessed